1.쉬움
Which task should the registered nurse not delegate to a nursing assistant?
- AGiving a bed bath to a stable patient
- BEvaluating whether the patient understood discharge teaching
- CWalking a stable patient up and down the corridor after lunch
- DMaking an occupied bed
2.쉬움
Who is responsible for developing the nursing plan of care?
- AThe LPN/LVN alone
- BThe ward clerk
- CThe registered nurse
- DThe nursing assistant
3.쉬움
How many rights of delegation are commonly taught?
- AThree
- BFive
- CSeven
- DTen
4.보통
A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?
- ALay the patient flat to help them breathe more easily
- BAssess the lungs, oxygen saturation and swelling, then inform the provider
- CRecord the weight on the chart and recheck it at the next weekly weigh-in
- DEncourage extra fluids to correct the weight change
5.보통
A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?
- AHelp the patient carry shopping bags on the left arm
- BDo not measure blood pressure on the left arm
- CMeasure blood pressure on the left arm only, every 4 hours
- DKeep the left arm wrapped tightly in a bandage at night
6.보통
다수 사상자 현장의 START 트리아지에서 피해자가 요청받자 지정된 구역으로 걸어갈 수 있습니다. 이 피해자는 어느 범주로 분류되나요?
- A초록(경증)
- B노랑(지연)
- C빨강(즉시)
- D검정(기대 불가)
7.어려움
간호조무사에게 위임하지 않고 RN이 직접 하기에 가장 적절한 업무는 무엇인가요?
- A수술 후 처음으로 환자를 침대에서 일으키기
- B매일 아침 심부전 환자의 체중 재기
- C환자의 구강 간호 돕기
- D수술 3일째 안정된 환자를 복도로 산책시키기
8.어려움
A patient takes lithium. Which statement shows a need for further teaching?
- A“I will drink enough fluid every day.”
- B“I will take ibuprofen every day for my headaches.”
- C“I will keep my daily salt intake about the same as usual.”
- D“I will go for my blood tests as planned.”
정답표
- 1. B · Evaluating whether the patient understood discharge teaching
- 2. C · The registered nurse
- 3. B · Five
- 4. B · Assess the lungs, oxygen saturation and swelling, then inform the provider
- 5. B · Do not measure blood pressure on the left arm
- 6. A · 초록(경증)
- 7. A · 수술 후 처음으로 환자를 침대에서 일으키기
- 8. B · “I will take ibuprofen every day for my headaches.”
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